Theresa Owusu-Ansah, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704254603 Issued in MI

Practice address

26206 W 12 Mile Rd Ste 302
Southfield, MI 48034-8501

Phone

(248) 440-6090

NPI assigned

Nov 7, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: tansah@landmarkhealth-direct.org
• Direct secure messaging: towusuansah801006@direct.hfhs.org

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1902374986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26206 W 12 MILE RD STE 302",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480348501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26206 W 12 MILE RD STE 302",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480348501",
            "telephone_number": "248-440-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWUSU-ANSAH",
        "first_name": "THERESA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-07",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704254603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecilia Lucy Otten, DNP, FNP-BC
• Carolyn Ottney-Schweiss
• Quinn N Ousley
• Tamika S Outsey
• Oversight Health Management Inc
• Rohan Oza, PT
• Benjamin R Ozbun, CRNA
• Andis E Ozolins, MD
• P & O Services Inc
• P-Cor, LLC

• All providers in Southfield, MI
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.